Organization
BAWA DENTISTRY PLLC
Active
Other names
bobby and anoop bawa dental care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANOOP S BAWA DMD (DENTIST)
(703) 266-0111
Entity
Organization
Contact information
Practice address
14631 LEE HWY, SUITE 201, CENTREVILLE, VA 20121-5824
(703) 266-0111
Mailing address
14631 LEE HWY, SUITE 201, CENTREVILLE, VA 20121-5824
(703) 266-0111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412382
VA
122300000X
Dentist
0401412401
VA
1223G0001X
General Practice Dentistry
46686
CA
1223G0001X
General Practice Dentistry
Primary
50846
CA
Other
Enumeration date
05/23/2007
Last updated
12/27/2010
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